Investigating Preferred Nap Schedules for Adolescents

NCT ID: NCT04044885

Last Updated: 2020-07-23

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

54 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-08-01

Study Completion Date

2019-12-31

Brief Summary

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The aim of this study is to examine the neurobehavioural responses to two successive cycles of sleep manipulation nights and recovery nights in adolescents, and to determine the benefits of napping on cognitive performance, alertness and mood. Using a split-sleep design, 60 participants, aged 15 to 19 years old, are divided into a nap and a no-nap group. Both groups undergo two cycles of sleep manipulation nights and recovery nights over a period of 15 days. The no-nap group receives an 8-hour sleep opportunity on sleep restriction nights, with no daytime nap opportunity. The nap group receives a 6.5-hour sleep opportunity on sleep restriction nights, and has a 1.5-hour nap opportunity the following afternoon.

Detailed Description

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The present study investigates whether a continuous stretch of night time sleep (8 hours) will lead to better neurobehavioural outcomes relative to nocturnal sleep restriction (6.5 hours) and daytime nap (1.5 hours) of the same total duration. The 15-day protocol is conducted in a dormitory on 60 high school students, aged 15 to 19 years old. Participants are assigned to a nap or no-nap group. Both groups start with two 9-hour adaptation and baseline nights, followed by two successive cycles of sleep restriction (6.5-h time in bed (TIB); 00:15-06:45 or 8-h TIB; 23:30-07:30) and recovery (9-h TIB; 23:00-08:00). Following each sleep-restricted night, the nap group receives a 1.5-h nap opportunity, while participants in the no-nap group watch a documentary. Throughout the protocol, sleep-wake patterns are assessed with actigraphy and polysomnography. Sleepiness levels, mood, vigilance, working memory / executive functions, and speed of processing are assessed 3 times daily (10:00, 16:15, and 20:00).

All participants stay in air-conditioned, twin-share bedrooms with en-suite bathrooms. Bedroom windows are fitted with blackout panels to ensure participants are not woken up prematurely by sunlight. Earplugs are provided, and participants are allowed to adjust the temperature of their bedrooms to their personal comfort. Three main meals are served each day, with snacks being provided for upon request. Caffeinated drinks, unscheduled sleep, and strenuous physical activities are prohibited.

Outside of scheduled sleep, meal, and cognitive testing times, participants spend the majority of their free time in a common room that is illuminated by natural and artificial lighting. They are allowed to read, play non-physically exerting games, watch videos, and interact with research staff and other participants. Participants are under constant supervision by the research staff.

Conditions

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Sleep

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

NONE

Study Groups

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Nap

After each night with a 6.5-hour sleep opportunity, participants have a daytime nap opportunity of 1.5 hours.

Group Type EXPERIMENTAL

Nap

Intervention Type BEHAVIORAL

Looking at the difference between continuous sleep opportunities and split-sleep opportunities.

No nap

After each night with a 8-hour sleep opportunity, participants do not have a daytime nap opportunity, but instead have free time.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Nap

Looking at the difference between continuous sleep opportunities and split-sleep opportunities.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* healthy
* no sleep disorder
* body mass index not greater than 30

Exclusion Criteria

* smoker
* habitual short sleeper (time in bed during term time of less than 6 hours and no sign of -
* sleep extension of greater than 1 hour on weekends)
* consumption of more than 5 cups of caffeinated beverages a day
* travelling across more than 2 time zones in the month prior to the study protocol
* diagnosed with any psychiatric conditions
Minimum Eligible Age

15 Years

Maximum Eligible Age

19 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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National Medical Research Council (NMRC), Singapore

OTHER_GOV

Sponsor Role collaborator

Duke-NUS Graduate Medical School

OTHER

Sponsor Role lead

Responsible Party

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Michael WL Chee, MBBS

Principal Investigator, Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Michael WL Chee, MBBS

Role: PRINCIPAL_INVESTIGATOR

Duke-NUS Graduate Medical School

Locations

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Duke-NUS Medical School

Singapore, , Singapore

Site Status

Countries

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Singapore

References

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Leong RLF, Tian L, Yu N, Teo TB, Ong JL, Chee MWL. Bidirectional associations between the duration and timing of nocturnal sleep and daytime naps in adolescents differ from weekdays to weekends. Sleep. 2024 Sep 9;47(9):zsae147. doi: 10.1093/sleep/zsae147.

Reference Type DERIVED
PMID: 38938171 (View on PubMed)

Golkashani HA, Ghorbani S, Leong RLF, Ong JL, Chee MWL. Advantage conferred by overnight sleep on schema-related memory may last only a day. Sleep Adv. 2023 Apr 14;4(1):zpad019. doi: 10.1093/sleepadvances/zpad019. eCollection 2023.

Reference Type DERIVED
PMID: 37193282 (View on PubMed)

Aghayan Golkashani H, Leong RLF, Ghorbani S, Ong JL, Fernandez G, Chee MWL. A sleep schedule incorporating naps benefits the transformation of hierarchical knowledge. Sleep. 2022 Apr 11;45(4):zsac025. doi: 10.1093/sleep/zsac025.

Reference Type DERIVED
PMID: 35090173 (View on PubMed)

Lo JC, Koa TB, Ong JL, Gooley JJ, Chee MWL. Staying vigilant during recurrent sleep restriction: dose-response effects of time-in-bed and benefits of daytime napping. Sleep. 2022 Apr 11;45(4):zsac023. doi: 10.1093/sleep/zsac023.

Reference Type DERIVED
PMID: 35089345 (View on PubMed)

Leong RLF, Yu N, Ong JL, Ng ASC, Jamaluddin SA, Cousins JN, Chee NIYN, Chee MWL. Memory performance following napping in habitual and non-habitual nappers. Sleep. 2021 Jun 11;44(6):zsaa277. doi: 10.1093/sleep/zsaa277.

Reference Type DERIVED
PMID: 33313925 (View on PubMed)

Lo JC, Leong RLF, Ng ASC, Jamaluddin SA, Ong JL, Ghorbani S, Lau T, Chee NIYN, Gooley JJ, Chee MWL. Cognitive effects of split and continuous sleep schedules in adolescents differ according to total sleep opportunity. Sleep. 2020 Dec 14;43(12):zsaa129. doi: 10.1093/sleep/zsaa129.

Reference Type DERIVED
PMID: 32619240 (View on PubMed)

Other Identifiers

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NFS5

Identifier Type: -

Identifier Source: org_study_id

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